CENTRAL BUREAU OF STATISTICS
KENYA DEMOGRAPHIC AND HEALTH SURVEY 2003
WOMAN'S QUESTIONNAIRE
CENTRAL 2
COAST 3
EASTERN 4
NYANZA 5
R.VALLEY 6
WESTERN 7
NORTHEASTERN 8
DISTRICT __________
LOCATION/TOWN __________
SUBLOCATION/WARD ___________
NASSEP CLUSTER NUMBER ____________
KDHS CLUSTER NUMBER ___________
HOUSEHOLD NUMBER _____________
NAKURU/ELDORET/THIKA/NYERI 2
SMALL TOWN 3
RURAL 4
NAME OF HOUSEHOLD HEAD ____________
NAME AND LINE NUMBER OF WOMAN __________
INTERVIEW VISIT 1 (REPEAT FOR INTERVIEW VISIT 2 AND VISIT 3)
DATE ______
INTERVIEWER'S NAME __________
RESULT** ____________
NEXT VISIT:
DATE _____________
TIME ______________
FINAL VISIT
DAY ____________
MONTH ____________
YEAR 2003 __________
INT. CODE __________
RESULT ___________
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER (SPECIFY) _________
LANGUAGE OF QUESTIONNAIRE: ENGLISH
LANGUAGE OF INTERVIEW *** ______________
HOME LANGUAGE OF RESPONDENT*** ____________
NO 2
02 KALENJIN
03 KAMBA
04 KIKUYU
05 KISII
06 LUHYA
07 LUO
08 MAASAI
09 MERU
10 MIJIKENDA
11 SOMALI
12 KISWAHILI
13 ENGLISH
14 OTHER_________
FIELD EDITOR
NAME __________ ___
OFFICE EDITOR __ ____
KEYED BY _______
SECTION 1. RESPONDENT'S BACKGROUND
Hello. My name is __________ and I am working with the Central Bureau of Statistics. We are conducting a national survey about the health of women and children. We would very much appreciate your participation in this survey. I would like to ask you about your health (and the health of your children). This information will help the government to plan health services. The interview usually takes between 20 and 60 minutes to complete. Whatever information you provide will be kept strictly confidential and will not be shown to other persons.
Do you have any questions about the survey? May I begin the interview now?
SIGNATURE OF INTERVIEWER: __________
DATE: ________
RESPONDENT AGREES TO BE INTERVIEWED 1
RESPONDENT DOES NOT AGREE TO BE INTERVIEWED 2 (END)
MINUTES ___
102. First I would like to ask some questions about you and your household. For most of the time until you were 12 years old, did you live in Nairobi, Mombasa, in another city or town, or in the countryside?
OTHER CITY/TOWN 2
COUNTRYSIDE 3
OUTSIDE KENYA 4
103. How long have you been living continuously in (NAME OF CURRENT PLACE OF RESIDENCE)?
IF LESS THAN ONE YEAR, RECORD '00' YEARS.
ALWAYS 95 (GO to 105)
VISITOR 96 (GO to 105)
104. Just before you moved here, did you live in Nairobi, Mombasa, in another city or town, or in the countryside?
OTHER CITY/TOWN 2
COUNTRYSIDE 3
105. In what month and year were you born?
DOES NOT KNOW MONTH 98
YEAR ___
DOES NOT KNOW YEAR 9998
106. How old were you at your last birthday?
COMPARE AND CORRECT 105 AND/OR 106 IF INCONSISTENT.
107. Have you ever attended school?
NO 2 (GO to 111)
108. What is the highest level of school you attended: primary, vocational, secondary, or higher?
PRIMARY 1
POST-PRIMARY/VOCATIONAL 2
SECONDARY/'A' LEVEL 3
COLLEGE (MIDDLE LEVEL) 4
UNIVERSITY 5
109. What is the highest (standard/form/year) you completed at that level?
SECONDARY OR HIGHER __ (GO TO 114)
111. Now I would like you to read this sentence to me.
SHOW SENTENCES ON NEXT PAGE TO RESPONDENT.
IF RESPONDENT CANNOT READ WHOLE SENTENCE, PROBE: Can you read any part of the sentence to me?
CAN ONLY READ PART OF SENTENCE 2
CAN READ WHOLE SENTENCE 3
NO SENTENCE IN REQUIRED LANGUAGE 4
112. Have you ever participated in a literacy program or any other program that involves learning to read or write (not including primary school)?
NO 2
CODE '1' CIRCLED __ (GO TO 115)
114. Do you read a newspaper or magazine almost every day, at least once a week, less than once a week or not at all?
AT LEAST ONCE A WEEK 2
LESS THAN ONCE A WEEK 3
NOT AT ALL 4
115. Do you listen to the radio almost every day, at least once a week, less than once a week or not at all?
AT LEAST ONCE A WEEK 2
LESS THAN ONCE A WEEK 3
NOT AT ALL 4
116. Do you watch television almost every day, at least once a week, less than once a week or not at all?
AT LEAST ONCE A WEEK 2
LESS THAN ONCE A WEEK 3
NOT AT ALL 4
PROTESTANT/OTHER CHRISTIAN 2
MUSLIM 3
NO RELIGION 4
OTHER (SPECIFY)________ 6
118. What is your ethnic group/tribe?
KALENJIN 02
KAMBA 03
KIKUYU 04
KISII 05
LUHYA 06
LUO 07
MASAI 08
MERU 09
MIJIKENDA/SWAHILI 10
SOMALI 11
TAITA/TAVETA 12
OTHER (SPECIFY) _______ 96
SENTENCES FOR LITERACY TEST (Q.111)
ENGLISH
1. The child is reading a book.
2. The rains came late this year.
3. Parents must care for their children.
4. Farming is hard work.
1. Mtoto anasoma kitabu.
2. Mvua ilichelewa mwaka huu.
3. Nilazima wazazi watunze watoto wao.
4. Ukilima ni kazi ngumu.
201. Now I would like to ask about all the births you have had during your life. Have you ever given birth?
NO 2 (GO TO 206)
202. Do you have any sons or daughters to whom you have given birth who are now living with you?
NO 2 (GO TO 204)
203. How many sons live with you? And how many daughters live with you?
IF NONE, RECORD '00'.
DAUGHTERS AT HOME ___
204. Do you have any sons or daughters to whom you have given birth who are alive but do not live with you?
NO 2 (GO TO 206)
205. How many sons are alive but do not live with you? And how many daughters are alive but do not live with you?
IF NONE, RECORD '00'.
DAUGHTERS ELSEWHERE ____
206. Sometimes it happens that children die. It may be painful to talk about and I am sorry to ask you about painful memories, but it is important to get correct information. Have you ever given birth to a son or daughter who was born alive but later died?
IF NO, PROBE: Any baby who cried or showed signs of life but survived only a few hours or days?
NO 2 (GO TO 208)
207. How many sons have died? And how many daughters have died?
IF NONE, RECORD '00'.
DAUGHTERS DEAD ___
208. SUM ANSWERS TO 203, 205, AND 207, AND ENTER TOTAL.
IF NONE, RECORD '00'.
Just to make sure that I have this right: you have had in TOTAL _____ births during your life. Is that correct?
NO __ PROBE AND CORRECT 201-208 AS NECESSARY.
NO BIRTHS __ (GO TO 226)
211. Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
212. What name was given to your (first/next) baby?
213. Were any of these births twins?
MULT 2
214. Is (NAME) a boy or a girl?
GIRL 2
215. In what month and year was (NAME) born?
PROBE: What is his/her birthday?
YEAR ____
NO 2 (GO TO 220)
217. IF ALIVE: How old was (NAME) at his/her last birthday?
RECORD AGE IN COMPLETED YEARS.
218. IF ALIVE: Is (NAME) living with you?
NO 2
219. IF ALIVE: RECORD HOUSEHOLD LINE NUMBER OF CHILD (RECORD '00' IF CHILD NOT LISTED IN HOUSEHOLD)
220. IF DEAD: How old was (NAME) when he/she died?
IF '1 YR', PROBE: How many months old was (NAME)?
RECORD DAYS IF LESS THAN 1 MONTH; MONTHS IF LESS THAN TWO YEARS; OR YEARS.
MONTHS 2 ____
YEARS 3 ____
221. Were there any other live births between (NAME OF PREVIOUS BIRTH) and (NAME) ? CORRECT IF NECESSARY.
NO 2
222. Have you had any live births since the birth of (NAME OF LAST BIRTH)?
NO 2
223. COMPARE 208 WITH NUMBER OF BIRTHS IN HISTORY ABOVE AND MARK:
NUMBERS ARE SAME __ CHECK:
FOR EACH LIVING CHILD: CURRENT AGE IS RECORDED. __
FOR EACH DEAD CHILD: AGE AT DEATH IS RECORDED. __
FOR AGE AT DEATH 12 MONTHS OR 1 YR: PROBE TO DETERMINE EXACT NUMBER OF MONTHS. __
224. CHECK 215 AND ENTER THE NUMBER OF BIRTHS IN 1998 OR LATER.
IF NONE, RECORD '0'. __
225. FOR EACH BIRTH SINCE JANUARY 1998, ENTER 'B' IN THE MONTH OF BIRTH IN COLUMN 1 OF THE CALENDAR.
FOR EACH BIRTH, ASK THE NUMBER OF MONTHS THE PREGNANCY LASTED AND RECORD 'P' IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF PREGNANCY.
THE NUMBER OF 'P'S MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE.
NO 2 (GO TO 229)
UNSURE 8 (GO TO 229)
227. How many months pregnant are you?
WRITE NUMBER OF COMPLETED MONTHS. ENTER 'P'S IN COLUMN 1 OF CALENDAR, BEGINNING WITH THE MONTH OF INTERVIEW AND FOR THE TOTAL NUMBER OF COMPLETED MONTHS.
228. At the time you became pregnant did you want to become pregnant then, did you want to wait until later, or did you not want to have any (more) children at all?
LATER 2
NOT AT ALL 3
229. Have you ever had a pregnancy that miscarried, was aborted, or ended in a stillbirth?
NO 2 (GO TO 237)
230. When did the last such pregnancy end?
YEAR _______
LAST PREGNANCY ENDED BEFORE JAN. 1998 __ (GO TO 237)
232. How many months pregnant were you when the last such pregnancy ended?
WRITE NUMBER OF COMPLETED MONTHS. ENTER 'T' IN COLUMN 1 OF CALENDAR IN THE MONTH THAT THE PREGNANCY ENDED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.
233. Have you ever had any other pregnancies that did not end in a live birth?
NO 2 (GO TO 237)
234. ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER PREGNANCY THAT DID NOT END IN A LIVE BIRTH BACK TO JANUARY 1998.
ENTER 'T' IN COLUMN 1 OF CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.
235. Did you have any pregnancies that ended before 1998 that did not end in a live birth?
NO 2 (GO TO 237)
236. When did the last such pregnancy that ended before 1998 end?
YEAR ____
237. When did your last menstrual period start?
WEEKS AGO 2 ___
MONTHS AGO 3 ___
YEARS AGO 4 ___
MENOPAUSE/HAD HYSTERECTOMY 994
BEFORE LAST BIRTH 995
NEVER MENSTRUATED 996
238. From one menstrual period to the next, are there certain days when a woman is more likely to get pregnant if she has sexual relations?
NO 2 (GO TO 301)
DOES NOT KNOW 8 (GO TO 301)
239. Is this time just before her period begins, during her period, right after her period has ended, or half way between two periods?
DURING HER PERIOD 2
JUST AFTER HER PERIOD ENDS 3
HALF WAY BETWEEN 2 PERIODS 4
OTHER (SPECIFY) _____ 6
DOES NOT KNOW 8
Now I would like to talk about family planning - the various ways or methods that a couple can use to delay or avoid a pregnancy.
CIRCLE CODE 1 IN 301 FOR EACH METHOD MENTIONED SPONTANEOUSLY. THEN PROCEED DOWN COLUMN 301, READING THE NAME AND DESCRIPTION OF EACH METHOD NOT MENTIONED SPONTANEOUSLY.
CIRCLE CODE 1 IF SHE HAS HEARD OF THE METHOD AND CODE 2 IF SHE HAS NOT HEARD OF IT. THEN, FOR EACH METHOD WITH CODE 1 CIRCLED IN 301, ASK 302.
301. Which ways or methods have you heard about?
FOR METHODS NOT MENTIONED SPONTANEOUSLY, ASK:
Have you ever heard of (METHOD)?
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
(SPECIFY) ____
302. Have you ever used (METHOD)?
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
YES 1
NO 2
YES 1
NO 2
AT LEAST ONE 'YES' (EVER USED) __ (GO TO 307)
304. Have you ever used anything or tried in any way to delay or avoid getting pregnant?
NO 2
305. ENTER '0' IN COLUMN 1 OF CALENDAR IN EACH BLANK MONTH (GO TO 329)
306. What have you used or done?
CORRECT 302 AND 303 (AND 301 IF NECESSARY).
307. Now I would like to ask you about the first time that you did something or used a method to avoid getting pregnant. How many children did you have at that time, if any?
IF NONE, WRITE '00'.
WOMAN STERILISED __ (GO TO 311A)
PREGNANT __ (GO TO 318)
310. Are you currently doing something or using any method to delay or avoid getting pregnant?
NO 2 (GO TO 318)
311. Which method are you using?
IF MORE THAN ONE METHOD MENTIONED, FOLLOW GO INSTRUCTION FOR HIGHEST METHOD ON LIST.
311A. CIRCLE 'A' FOR FEMALE STERILISATION.
MALE STERILISATION B (GO TO 313)
PILL C
IUD D (GO TO 316A)
INJECTIONS E (GO TO 316A)
IMPLANTS F (GO TO 316A)
CONDOM G (GO TO 316A)
FEMALE CONDOM H (GO TO 316A)
RHYTHM, NATURAL METHODS I (GO TO 316A)
WITHDRAWAL J (GO TO 316A)
OTHER (SPECIFY) _____ X (GO TO 316A)
312. What brand of pills do you usually use?
OVULON 2 (GO TO 316A)
FEMIPLAN 3 (GO TO 316A)
OTHER (SPECIFY) _____ 6 (GO TO 316A)
DOES NOT KNOW BRAND 8 (GO TO 316A)
313. In what facility did the sterilisation take place?
IF SOURCE IS HOSPITAL, HEALTH CENTRE, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE '21'.
GOVERNMENT HEALTH CENTRE 12
GOVERNMENT DISPENSARY 13
OTHER PUBLIC (SPECIFY) ______ 16
FPAK HEALTH CENTRE/CLINIC 22
PRIVATE HOSPITAL OR CLINIC 23
NURSING/MATERNITY HOME 26
OTHER (SPECIFY) _____ 96
DOES NOT KNOW 98
CODE 'A' CIRCLED __
Before your sterilisation operation, were you told that you would not be able to have any (more) children because of the operation?
NO 2
DOES NOT KNOW 8
CODE 'B' CIRCLED __
Before the sterilisation operation, was your husband/partner told that he would not be able to have any (more) children because of the operation?
NO 2
DOES NOT KNOW 8
316. In what month and year was the sterilisation performed?
YEAR __
316A. In what month and year did you start using (CURRENT METHOD) continuously? PROBE: For how long have you been using (CURRENT METHOD) now without stopping?
YEAR _______
316B. CHECK 316/316A, 215 AND 230:
ANY BIRTH OR PREGNANCY TERMINATION AFTER MONTH AND YEAR OF START OF USE OF CONTRACEPTION IN 316/316A?
NO __ (GO TO 317)
YEAR IS 1998 OR LATER __
(ENTER THE CODE FOR THE METHOD USED IN MONTH OF INTERVIEW IN COLUMN 1 OF THE CALENDAR AND IN EACH MONTH BACK TO THE DATE SHE STARTED USING (Q.316).
ENTER METHOD SOURCE CODE IN COLUMN 2 OF THE CALENDAR IN THE MONTH SHE STARTED USING. THEN CONTINUE WITH 318).
YEAR IS 1997 OR EARLIER __
(ENTER THE CODE FOR THE METHOD USED IN MONTH OF INTERVIEW IN COLUMN 1 OF THE CALENDAR AND IN EACH MONTH BACK TO JANUARY 1998. THEN GO TO 327).
318. I would like to ask you some questions about the times you or your partner may have used a method to avoid getting pregnant during the last few years.
USE CALENDAR TO PROBE FOR EARLIER PERIODS OF USE AND NONUSE, STARTING WITH MOST RECENT USE, BACK TO JANUARY 1998. USE NAMES OF CHILDREN AND DATES OF BIRTH AND PREGNANCIES AS REFERENCE POINTS.
IN COLUMN 1, ENTER METHOD USE CODE OR '0' FOR NONUSE IN EACH BLANK MONTH.
COLUMN 1:
When was the last time you used a method? Which method was that?
When did you start using that method? How long after the birth of (NAME)?
How long did you use the method then?
IN COLUMN 2, ENTER METHOD SOURCE CODE IN FIRST MONTH OF EACH USE.
COLUMN 2:
Where did you get the method when you started using it?
Where did you get advice on how to use the method [for rhythm or withdrawal]?
IN COLUMN 3, ENTER CODE FOR REASON SHE STOPPED USING NEXT TO LAST MONTH OF USE. NUMBER OF CODES IN COLUMN 3 MUST BE SAME AS NUMBER OF INTERRUPTIONS OF METHOD USE IN COLUMN 1.
COLUMN 3:
Why did you stop using (METHOD)?
IF SHE STOPPED BECAUSE OF PREGNANCY, ASK WHETHER SHE BECAME PREGNANT UNINTENTIONALLY WHILE USING THE METHOD OR IF SHE DELIBERATELY STOPPED TO GET PREGNANT.
IF SHE DELIBERATELY STOPPED TO BECOME PREGNANT, ASK:
321. CHECK 311/311A:
CIRCLE METHOD CODE:
IF MORE THAN ONE METHOD CODE CIRCLED IN 311/311A, CIRCLE CODE FOR HIGHEST METHOD IN LIST.
FEMALE STERILISATION 01
MALE STERILISATION 02 (GO TO 331)
PILL 03
IUD 04
INJECTIONS 05
IMPLANTS 06
CONDOM 07 (GO TO 328)
FEMALE CONDOM 08 (GO TO 325)
RHYTHM, NATURAL METHOD 09 (GO TO 331)
WITHDRAWAL 10 (GO TO 331)
OTHER METHOD 96 (GO TO 331)
322. You obtained (CURRENT METHOD) from (SOURCE OF METHOD FROM CALENDAR) in (DATE).
At that time, were you told about side effects or problems you might have with the method?
NO 2
323. Were you ever told by a health or family planning worker about side effects or problems you might have with the method?
NO 2
CODE '1' CIRCLED __
At that time, were you told about other methods of family planning that you could use?
CODE '1' NOT CIRCLED __
When you obtained (CURRENT METHOD) from (SOURCE OF METHOD FROM CALENDAR) in (DATE), were you told about other methods of family planning that you could use?
NO 2
326. Were you ever told by a health or family planning worker about other methods of family planning that you could use?
NO 2
327. CHECK 311/311A:
CIRCLE METHOD CODE:
IF MORE THAN ONE METHOD CODE CIRCLED IN 311/311A, CIRCLE CODE FOR HIGHEST METHOD IN LIST.
MALE STERILISATION 02 (GO TO 331)
PILL 03
IUD 04
INJECTABLES 05
IMPLANTS/NORPLANT 06
CONDOM 07
FEMALE CONDOM 08
RHYTHM, NATURAL METHOD 09 (GO TO 331)
WITHDRAWAL 10 (GO TO 331)
OTHER 96 (GO TO 331)
328. Where did you obtain (CURRENT METHOD) the last time?
IF SOURCE IS HOSPITAL, HEALTH CENTRE, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE '21'.
GOVERNMENT HEALTH CENTRE 12 (GO TO 331)
GOVERNMENT DISPENSARY 13 (GO TO 331)
OTHER PUBLIC (SPECIFY) _______ 16 (GO TO 331)
FPAK HEALTH CENTRE/CLINIC 22 (GO TO 331)
PRIVATE HOSPITAL OR CLINIC 23 (GO TO 331)
PHARMACY/CHEMIST 24 (GO TO 331)
NURSING/MATERNITY HOME 26 (GO TO 331)
COMMUNITY-BASED DISTRIBUTOR 41 (GO TO 331)
SHOP 51 (GO TO 331)
FRIEND/RELATIVE 61 (GO TO 331)
329. Do you know of a place where you can obtain a method of family planning?
NO 2 (GO TO 331)
330. Where is that? Any other place? RECORD ALL PLACES MENTIONED.
IF SOURCE IS HOSPITAL, HEALTH CENTRE, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE 'F'.
GOVERNMENT HEALTH CENTRE C
GOVERNMENT DISPENSARY D
OTHER PUBLIC (SPECIFY) ________ E
FPAK HEALTH CENTRE/CLINIC G
PRIVATE HOSPITAL OR CLINIC H
PHARMACY/CHEMIST I
NURSING/MATERNITY HOME K
OTHER PRIV. MEDICAL (SPECIFY) _____ L
COMMUNITY-BASED DISTRIBUTOR N
SHOP O
FRIEND/RELATIVE P
331. In the last 12 months, were you visited by a fieldworker who talked to you about family planning?
NO 2
SECTION 4A. PREGNANCY, POSTNATAL CARE AND BREASTFEEDING
NO BIRTHS IN 1998 OR LATER __ (GO TO 487)
402. ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1998 OR LATER.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask you some questions about the health of all your children born in the last five years. We will talk about each separately.
403. LINE NUMBER FROM 212
LIVING __ DEAD __
405. At the time you became pregnant with (NAME), did you want to become pregnant then, did you want to wait until later, or did you not want to have any (more) children at all?
LATER 2
NOT AT ALL 3 (GO TO 407)
406. How much longer would you like to have waited?
YEARS 2 __
DON'T KNOW 998
407. Did you see anyone for antenatal care for this pregnancy?
IF YES: Whom did you see? Anyone else?
PROBE FOR THE TYPE OF PERSON AND RECORD ALL PERSONS SEEN.
[Most recent birth within the last five years]
NURSE/MIDWIFE B
TRADITION'L BIRTH ATTENDANT D
OTHER (SPECIFY) ________ X
NO ONE Y (GO TO 415)
407A. Where did you receive antenatal care for this pregnancy?
IF SOURCE IS HOSPITAL, HEALTH CENTRE OR CLINIC, WRITE THE NAME OF THE PLACE, PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
[Most recent birth within the last five years]
IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE 'F'.
GOVT. HEALTH CENTRE C
GOVT. DISPENSARY D
OTHER PUBLIC (SPECIFY) _____ E
PRIVATE HOSPITAL/CLINIC H
NURSING/MATERNITY HOME K
OTHER PVT. MEDICAL (SPECIFY) _______ L
408. How many months pregnant were you when you first received antenatal care for this pregnancy?
[Most recent birth within the last five years]
DON'T KNOW 98
409. How many times did you receive antenatal care during this pregnancy?
[Most recent birth within the last five years]
DON'T KNOW 98
410. During this pregnancy, were any of the following done to you at least once?
[Most recent birth within the last five years]
Were you weighed?
Was your height measured?
Was your blood pressure measured?
Did you give a urine sample?
Did you give a blood sample?
NO 2
NO 2
NO 2
NO 2
NO 2
411. During any of the antenatal care visits for this pregnancy, were you given any information or counseled about AIDS or the AIDS virus?
[Most recent birth within the last five years]
NO 2
DOES NOT KNOW 8
412. Were you given any information or counseled about breastfeeding?
[Most recent birth within the last five years]
NO 2
DOES NOT KNOW 8
413. Were you told about the signs of pregnancy complications?
[Most recent birth within the last five years]
NO 2 (GO TO 415)
DOES NOT KNOW 8 (GO TO 415)
414. Were you told where to go if you had these complications?
[Most recent birth within the last five years]
NO 2
DOES NOT KNOW 8
415. During this pregnancy, were you given an injection in the arm to prevent the baby from getting tetanus, that is, convulsions after birth?
[Most recent birth within the last five years]
NO 2 (GO TO 417)
DOES NOT KNOW 8 (GO TO 417)
416. During this pregnancy, how many times did you get this injection?
[Most recent birth within the last five years]
DOES NOT KNOW 8
417. During this pregnancy, were you given or did you buy any iron tablets or iron syrup? SHOW TABLET/SYRUP.
[Most recent birth within the last five years]
NO 2 (GO TO 419)
DOES NOT KNOW 8 (GO TO 419)
418. During the whole pregnancy, for how many days did you take the tablets or syrup?
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER OF DAYS.
[Most recent birth within the last five years]
DOES NOT KNOW 998
419. During this pregnancy, did you take any drugs to prevent you from getting malaria?
[Most recent birth within the last five years]
NO 2 (GO TO 423)
DOES NOT KNOW 8 (GO TO 423)
420. What antimalarial drugs did you take?
RECORD ALL MENTIONED. IF TYPE OF DRUG IS NOT DETERMINED, SHOW TYPICAL ANTIMALARIAL DRUGS TO RESPONDENT.
[Most recent birth within the last five years]
CHLOROQUINE B
DOES NOT KNOW Z
OTHER (SPECIFY) ______ X
421. CHECK 420:
DRUGS TAKEN FOR MALARIA PREVENTION
[Most recent birth within the last five years]
CODE 'A' NOT CIRCLED __ (GO TO 423)
422. During the whole pregnancy, how many times did you take SP (Fansidar)?
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER OF DAYS.
[Most recent birth within the last five years]
DON'T KNOW 98
422A. CHECK 407: ANTENATAL CARE RECEIVED DURING THIS PREGNANCY?
[Most recent birth within the last five years]
OTHER __ (GO TO 423)
422B. Did you get the SP during an antenatal visit, during another visit to a health facility or from some other source?
[Most recent birth within the last five years]
ANOTHER FACILITY VISIT 2
OTHER SOURCE 3
423. When (NAME) was born, was he/she very large, larger than average, average, smaller than average, or very small?
LARGER THAN AVERAGE 2
AVERAGE 3
SMALLER THAN AVERAGE 4
VERY SMALL 5
DON'T KNOW 8
424. Was (NAME) weighed at birth?
NO 2 (GO TO 426)
DON'T KNOW 8 (GO TO 426)
425. How much did (NAME) weigh?
RECORD WEIGHT FROM HEALTH CARD, IF AVAILABLE.
GRAMS FROM RECALL 2 ________
DON'T KNOW 99998
426. Who assisted with the delivery of (NAME)?
Anyone else?
PROBE FOR THE TYPE OF PERSON AND RECORD ALL PERSONS ASSISTING.
IF RESPONDENT SAYS 'NO ONE', PROBE TO DETERMINE WHETHER ANY ADULTS WERE PRESENT AT THE DELIVERY.
NURSE/MIDWIFE B
RELATIVE/FRIEND E
OTHER (SPECIFY) _______ X
427. Where did you give birth to (NAME)?
IF SOURCE IS HOSPITAL, HEALTH CENTRE OR CLINIC, WRITE THE NAME OF THE
PLACE, PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE '31'.
OTHER HOME 12 (GO TO 429)
GOVT.HEALTH CENTRE 22
GOVT.DISPENSARY 23
OTHER PUBLIC (SPECIFY) ________ 26
PRIVATE HOSPITAL/CLINIC 33
NURSING/MATERNITY HOME 35
OTHER PVT. MEDICAL (SPECIFY) _________ 36
428. Was (NAME) delivered by caesarian section?
NO 2
428A. After you delivered, did the health facility give you a birth notification form for the baby?
NO 2 (GO TO 433)
DOES NOT KNOW 8 (GO TO 433)
429. After (NAME) was born, did a health professional or a traditional birth attendant check on your health?
NO 2 (GO TO 433)
430. How many days or weeks after the delivery did the first check take place?
RECORD '00' DAYS IF SAME DAY.
[Most recent birth within the last five years]
WEEKS AFTER DEL 2 ______
DON'T KNOW 998
431. Who checked on your health at that time?
PROBE FOR MOST QUALIFIED PERSON.
[Most recent birth within the last five years]
NURSE/MIDWIFE 12
TRADIT'L BIRTH ATTENDANT 21
OTHER (SPECIFY) ______ 96
432. Where did this first check take place?
IF SOURCE IS HOSPITAL, HEALTH CENTRE OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
[Most recent birth within the last five years]
IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE '31'.
OTHER HOME 12
GOVT.HEALTH CENTRE 22
GOVT.DISPENSARY 23
OTHER PUBLIC (SPECIFY) ________ 26
PRIVATE HOSPITAL/CLINIC 33
NURSING/MATERNITY HOME 35
OTHER PVT. MEDICAL (SPECIFY) _________ 36
433. After (NAME) was born, did you go to the assistant chief or to a village elder or to a registrar's office to get a birth notification form?
NO 2
DOES NOT KNOW 8
433A. Do you have a birth certificate for (NAME)?
NO 2
DOES NOT KNOW 8
433B. In the first two months after delivery, did you receive a vitamin A dose like this?
SHOW CAPSULE.
[Most recent birth within the last five years]
NO 2
434. Has your menstrual period returned since the birth of (NAME)?
[Most recent birth within the last five years]
NO 2 (GO TO 437)
435. Did your period return between the birth of (NAME) and your next pregnancy?
[Repeat questions for all children born in the last 5 years, excluding the most recent birth]
NO 2 (GO TO 439)
436. For how many months after the birth of (NAME) did you not have a period?
DON'T KNOW 98
437. CHECK 226:
IS RESPONDENT PREGNANT?
PREGNANT OR UNSURE __ (GO TO 439)
438. Have you resumed sexual relations since the birth of (NAME)?
[Most recent birth within the last five years]
NO 2 (GO TO 440)
439. For how many months after the birth of (NAME) did you not have sexual relations?
DON'T KNOW 98
440. Did you ever breastfeed (NAME)?
NO 2 (GO TO 447)
441. How long after birth did you first put (NAME) to the breast?
IF LESS THAN 1 HOUR, WRITE '00' HOURS.
IF LESS THAN 24 HOURS, WRITE HOURS.
OTHERWISE, WRITE DAYS.
HOURS 1 ______
DAYS 2 ______
442. In the first three days after delivery, before your milk began flowing regularly, was (NAME) given anything to drink other than breast milk?
NO 2 (GO TO 444)
443. What was (NAME) given to drink before your milk began flowing regularly?
Anything else?
RECORD ALL LIQUIDS MENTIONED.
PLAIN WATER B
SUGAR OR GLUCOSE WATER C
GRIPE WATER D
SUGAR-SALT-WATER SOLUTION E
FRUIT JUICE F
INFANT FORMULA G
TEA H
HONEY I
OTHER (SPECIFY) _____ X
444. CHECK 404: IS CHILD LIVING?
DEAD __ (GO TO 446)
445. Are you still breastfeeding (NAME)?
NO 2
446. For how many months did you breastfeed (NAME)?
DON'T KNOW 98
447. CHECK 404: IS CHILD LIVING?
DEAD __ (GO BACK TO 405 IN NEXT COLUMN; OR, IF NO MORE BIRTHS, GO TO 454)
448. How many times did you breastfeed last night between sunset and sunrise?
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER.
449. How many times did you breastfeed yesterday during the daylight hours?
IF ANSWER IS NOT NUMERIC, PROBE FOR APPROXIMATE NUMBER.
450. Did (NAME) drink anything from a bottle with a nipple yesterday or last night?
NO 2
DON'T KNOW 8
451. Was sugar added to any of the foods or liquids (NAME) ate yesterday?
NO 2
DON'T KNOW 8
452. How many times did (NAME) eat solid, semisolid, or soft foods other than liquids yesterday during the day or at night?
IF 7 OR MORE TIMES, RECORD '7'.
DON'T KNOW 8
453. GO BACK TO 405 IN NEXT COLUMN; OR, IF NO MORE BIRTHS, GO TO 454.
SECTION 4B. IMMUNISATION, HEALTH AND NUTRITION
454. ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1998 OR LATER. (IF THERE ARE MORE THAN 2 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).
LIVING __ (GO TO 457)
DEAD __ (GO TO 456 IN NEXT COLUMN OR, IF NO MORE BIRTHS, GO TO 484)
457. Did (NAME) receive a vitamin A dose like this during the last 6 months?
SHOW CAPSULE.
NO 2
DOES NOT KNOW 8
458. Do you have a card where (NAME'S) vaccinations are written down?
IF YES: May I see it please?
YES, NOT SEEN 2 (GO TO 462)
NO CARD 3
459. Did you ever have a vaccination card for (NAME)?
NO 2 (GO TO 462)
460. (1) COPY VACCINATION DATE FOR EACH VACCINE FROM THE CARD.
(2) WRITE '44' IN 'DAY' COLUMN IF CARD SHOWS THAT A VACCINATION WAS GIVEN, BUT NO DATE IS RECORDED.
BCG
DPT/HEPATITIS/H. INFLUENZA 1st DOSE
DPT/HEPATITIS/H. INFLUENZA 2nd DOSE
DPT/HEPATITIS/H. INFLUENZA 3rd DOSE
ORAL POLIO VACCINE BIRTH DOSE (OPV 0)
ORAL POLIO VACCINE 1st DOSE (OPV 1)
ORAL POLIO VACCINE 2nd DOSE (OPV 2)
ORAL POLIO VACCINE 3rd DOSE (OPV 3)
MEASLES
VITAMIN A CAPSULE (AGE AT MOST RECENT)
DPT 1 DAY __ MONTH __ YEAR __
DPT 2 DAY __ MONTH __ YEAR __
DPT 3 DAY __ MONTH __ YEAR __
OPV 0 DAY __ MONTH __ YEAR __
OPV 1 DAY __ MONTH __ YEAR __
OPV 2 DAY __ MONTH __ YEAR __
OPV 3 DAY __ MONTH __ YEAR __
MEAS DAY __ MONTH __ YEAR __
VIT.A AGE IN MONTHS _____
461. Has (NAME) received any vaccinations that are not recorded on this card, including vaccinations received in a national immunisation day campaign?
RECORD 'YES' ONLY IF RESPONDENT MENTIONS BCG, POLIO 0-3, DPT 1-3, AND/OR MEASLES VACCINE(S).
NO 2 (GO TO 464)
DON'T KNOW 8 (GO TO 464)
462. Did (NAME) ever receive any vaccinations to prevent him/her from getting diseases, including vaccinations received in a national immunisation day campaign?
NO 2 (GO TO 466)
DON'T KNOW 8 (GO TO 466)
463. Please tell me if (NAME) received any of the following vaccinations:
463A. A BCG vaccination against tuberculosis, that is, an injection in the left arm that usually causes a scar?
NO 2
DON'T KNOW 8
463B. Polio vaccine, that is, drops in the mouth?
NO 2 (GO TO 463E)
DON'T KNOW 8 (GO TO 463E)
463C. When was the first polio vaccine received, just after birth or later?
LATER 2
463D. How many times was the polio vaccine received?
463E. A DPT vaccination, that is, an injection in the thigh, sometimes at the same time as polio drops?
NO 2 (GO TO 463G)
DON'T KNOW 8 (GO TO 463G)
463G. An injection in the right upper arm to prevent measles?
NO 2
DON'T KNOW 8
464. Were any of the vaccinations (NAME) received during the last two years given as a part of a national immunisation day campaign?
NO 2 (GO TO 466)
NO VACCINATION IN THE LAST 2 YEARS 3 (GO TO 466)
DON'T KNOW 8 (GO TO 466)
465. At which national immunisation day campaigns did (NAME) receive vaccinations? RECORD ALL CAMPAIGNS MENTIONED.
JUNE 2002 B
SEPTEMBER 2001 C
AUGUST 2001 D
466. Has (NAME) been ill with a fever at any time in the last 2 weeks?
NO 2 (GO TO 467)
DOES NOT KNOW 8 (GO TO 467)
466A. Does (NAME) have a fever now?
NO 2
DON'T KNOW 8
467. Has (NAME) had an illness with a cough at any time in the last 2 weeks?
NO 2 (GO TO 469)
DON'T KNOW 8 (GO TO 469)
468. When (NAME) had an illness with a cough, did he/she breathe faster than usual with short, fast breaths?
NO 2
DON'T KNOW 8
469. CHECK 466 AND 467:
FEVER OR COUGH?
OTHER __ (GO TO 471A)
470. Did you seek advice or treatment for the fever/cough?
NO 2 (GO TO 471A)
471. Where did you seek advice or treatment? Anywhere else?
RECORD ALL SOURCES MENTIONED.
GOVT. HEALTH CENTRE B
GOVT. DISPENSARY C
OTHER PUBLIC (SPECIFY) _______ D
PVT. HOSPITAL/CLINIC H
PHARMACY/CHEMIST I
OTHER PVT. MEDICAL (SPECIFY) _____ K
COMMUNITY HEALTH WORKER M
OTHER SOURCE
TRAD. PRACTITIONER O
RELATIVE/FRIEND P
471A. Has (NAME) been ill with convulsions at any time during the last two weeks?
NO 2
DOES NOT KNOW 8
472. CHECK 466 AND 471A:
HAD FEVER OR CONVULSIONS?
OTHER __ (GO TO 475)
473. Did (NAME) take any drugs for the fever/convulsions?
NO 2 (GO TO 474G)
DON'T KNOW 8 (GO TO 474G)
474. What drugs did (NAME) take?
RECORD ALL MENTIONED.
ASK TO SEE DRUG IF TYPE OF DRUG IS NOT KNOWN. IF TYPE OF DRUG IS STILL NOT DETERMINED, SHOW TYPICAL ANTIMALARIAL DRUGS TO RESPONDENT.
SP, FANSIDAR, METAKELFIN B
AMODIAQUINE C
QUININE D
PANADOL/PARACETAMOL/ASPIRIN/CALPOL E
OTHER (SPECIFY) ______ X
DOES NOT KNOW Z
474A. CHECK 474:
WHICH MEDICINES?
CODE 'B' NOT CIRCLED __ (GO TO 474D)
474B. How long after the fever/convulsions started did (NAME) first take SP (Fansidar)?
NEXT DAY 1
2 DAYS AFTER FEVER STARTED 2
3 OR MORE DAYS AFTER FEVER 3
DOES NOT KNOW 8
474C. For how many days did (NAME) take the SP?
IF 7 OR MORE DAYS, WRITE '7'.
DOES NOT KNOW 8
474D. CHECK 474: WHICH MEDICINES?
CODE 'C' NOT CIRCLED __ (GO TO 474G)
474E. How long after the fever/convulsions started did (NAME) first take Amodiaquine?
NEXT DAY 1
2 DAYS AFTER FEVER STARTED 2
3 OR MORE DAYS AFTER FEVER 3
DOES NOT KNOW 8
474F. For how many days did (NAME) take the Amodiaquine?
IF 7 OR MORE DAYS, WRITE '7'.
DOES NOT KNOW 8
474G. Was anything else done about (NAME)'s fever/convulsions?
NO 2 (GO TO 475)
DOES NOT KNOW 8 (GO TO 475)
474H. What was done about (NAME)'s fever/convulsions?
GAVE WARM SPONGING B
GAVE HERBS C
OTHER X
475. Has (NAME) had diarrhea in the last 2 weeks?
NO 2 (GO TO 483)
DON'T KNOW 8 (GO TO 483)
476. Now I would like to know how much (NAME) was offered to drink during the diarrhea. Was he/she offered less than usual to drink, about the same amount, or more than usual to drink?
IF LESS, PROBE: Was he/she offered much less than usual to drink or somewhat less?
SOMEWHAT LESS 2
ABOUT THE SAME 3
MORE 4
NOTHING TO DRINK 5
DON'T KNOW 8
477. When (NAME) had diarrhea, was he/she offered less than usual to eat, about the same amount, more than usual, or nothing to eat?
IF LESS, PROBE: Was he/she offered much less than usual to eat or somewhat less?
SOMEWHAT LESS 2
ABOUT THE SAME 3
MORE 4
STOPPED FOOD 5
NEVER GAVE FOOD 6
DON'T KNOW 8
478. Was he/she given a fluid made from a special packet called Oralite or ORS?
NO 2
DON'T KNOW 8
479. Was anything (else) given to treat the diarrhea?
NO 2 (GO TO 481)
DON'T KNOW 8 (GO TO 481)
480. What (else) was given to treat the diarrhea?
Anything else?
RECORD ALL TREATMENTS MENTIONED.
INJECTION B
(I.V.) INTRAVENOUS C
HOME REMEDIES/HERBAL MEDICINES D
OTHER (SPECIFY) ____ X
481. Did you seek advice or treatment for the diarrhea?
NO 2 (GO TO 483)
482. Where did you seek advice or treatment? Anywhere else? RECORD ALL PLACES MENTIONED.
IF SOURCE IS HOSPITAL, HEALTH CENTRE OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
GOVT. HEALTH CENTRE B
GOVT. DISPENSARY C
OTHER PUBLIC _____ D
PVT. HOSPITAL/CLINIC H
PHARMACY/CHEMIST I
OTHER PVT. MEDICAL L
COMMUNITY HEALTH WORKER N
OTHER SOURCE
TRAD. PRACTITIONER P
RELATIVE/FRIEND Q
OTHER (SPECIFY) ______ X
483. (LAST BIRTH) GO BACK TO 456 IN NEXT COLUMN; OR, IF NO MORE BIRTHS, GO TO 484.
(NEXT-TO-LAST BIRTH) GO BACK TO 456 IN LAST COLUMN OF NEW QUESTIONNAIRE; OR, IF NO MORE BIRTHS, GO TO 484.
484. CHECK 215 AND 218, ALL ROWS: NUMBER OF CHILDREN BORN IN 1998 OR LATER LIVING WITH MOTHER.
NONE __ (GO TO 487)
485. What is usually done to dispose of your (youngest) child's stools when he/she does not use any toilet facility?
THROW IN THE TOILET/LATRINE 02
THROW OUTSIDE THE DWELLING 03
THROW OUTSIDE THE COMPOUND 04
BURY IN THE COMPOUND 05
RINSE AWAY 06
USE DISPOSABLE DIAPERS 07
USE WASHABLE DIAPERS 08
NOT DISPOSED OF 09
OTHER _______ 96
ANY CHILD RECEIVED FLUID FROM ORS PACKET __ (GO TO 488)
487. Have you ever heard of a special product called Oralite or ORS you can get for the treatment of diarrhea?
NO 2
HAS NO CHILDREN LIVING WITH HER __ (GO TO 491)
489. When a child is ill, what signs of illness would tell you that he or she should be taken to a health facility or health worker?
CIRCLE ALL MENTIONED.
FEVER, SHIVERING B
REPEATED VOMITING C
DIARRHEA D
BLOOD IN STOOLS E
FAST BREATHING F
CONVULSIONS G
WEAKNESS H
GETTING SICKER I
OTHER (SPECIFY) ________ X
WRITE NAME OF YOUNGEST CHILD LIVING WITH HER (AND CONTINUE TO 492)
(NAME) __________
DOES NOT HAVE ANY CHILDREN BORN IN 2000 OR LATER AND LIVING WITH HER __ (GO TO 496)
492. Now I would like to ask you about liquids (NAME FROM Q.491) drank over the last 24 hours.
In total, how many times yesterday during the day or at night did (NAME) drink (ITEM)?
a Plain water?
b Commercially produced infant formula?
c Any other milk such as tinned, powdered, or fresh animal milk?
d Fruit juice?
e Any other liquids?
IF 7 OR MORE TIMES, RECORD '7'. IF DON'T KNOW, RECORD '8'.
YESTERDAY/LAST NIGHT DRANK
493. Now I would like to ask you about the types of foods (NAME FROM Q.491) ate over the last 24 hours.
In total, how many times yesterday during the day or at night did (NAME) eat (ITEM)?
a Any food made from grains, like maize, rice, wheat, porridge, sorghum, or other local grains?
b Pumpkin, red or yellow yams or squash, carrots, or yellow sweet potatoes?
c Any other food made from roots or tubers, like white potatoes, white yams, arrowroot, cassava, or other local roots or tubers?
d Any green leafy vegetables?
e Mango, papaya, guava?
f Any other fruits and vegetables like bananas, apples, green beans, avocados, tomatoes, oranges, pineapples, passion fruit?
g Meat, chicken, fish, liver, kidney, blood, termites, seafood, or eggs?
h Any food made from legumes, e.g. lentils, beans, soybeans, pulses, or peanuts?
i Sour milk, cheese or yoghurt?
j Any solid or semi-solid food?
IF 7 OR MORE TIMES, RECORD '7'. IF DON'T KNOW, RECORD '8'.
YESTERDAY/LAST NIGHT, NUMBER OF TIMES ATE
496. Do you currently smoke cigarettes or use tobacco?
IF YES: what type of tobacco do you smoke?
RECORD ALL TYPES MENTIONED.
YES, PIPE B
YES, OTHER TOBACCO C
NO Y
CODE 'A' NOT CIRCLED __ (GO TO 499)
498. In the last 24 hours, how many cigarettes did you smoke?
499. Have you ever drunk any kind of alcohol like beer, wine, chang'aa, palm wine, etc.?
NO 2 (GO TO 501)
499A. In the last month, on how many days did you drink any alcohol-containing beverage?
IF EVERY DAY, RECORD '30'.
NONE 95
SECTION 5. MARRIAGE AND SEXUAL ACTIVITY
501. Are you currently married or living with a man?
YES, MARRIED BY CUSTOM 2 (GO TO 505)
YES, LIVING WITH A MAN 3 (GO TO 505)
NO, NOT IN UNION 4 (GO TO 505)
502. Have you ever been married or lived with a man?
YES, FORMERLY MARRIED BY CUSTOM 2 (GO TO 504)
YES, LIVED WITH A MAN 3 (GO TO 510)
NO 4
503. ENTER '0' IN COLUMN 4 OF CALENDAR IN THE MONTH OF INTERVIEW AND IN EACH MONTH BACK TO JANUARY 1998. (GO TO 514)
504. What is your marital status now: are you widowed, divorced, or separated?
DIVORCED 2 (GO TO 510)
SEPARATED 3 (GO TO 510)
505. Is your husband/partner living with you now or is he staying elsewhere?
STAYING ELSEWHERE 2
506. RECORD THE HUSBAND'S NAME AND LINE NUMBER FROM THE HOUSEHOLD QUESTIONNAIRE. IF HE IS NOT LISTED IN THE HOUSEHOLD, RECORD '00'.
LINE NO. ____
507. Does your husband/partner have any other wives besides yourself?
NO 2 (GO TO 510)
DOES NOT KNOW 8 (GO TO 510)
508. How many other wives does he have?
DOES NOT KNOW 8
510. Have you been married or lived with a man only once, or more than once?
MORE THAN ONCE 2
MARRIED/LIVED WITH A MAN ONLY ONCE __
(In what month and year did you start living with your husband/partner?)
MARRIED/LIVED WITH A MAN MORE THAN ONCE __
(Now we will talk about your first husband/partner. In what month and year did you start living with him?)
DOES NOT KNOW MONTH 98
DOES NOT KNOW YEAR 9998
512. How old were you when you started living with him?
513. DETERMINE MONTHS MARRIED OR LIVING WITH A MAN SINCE JANUARY 1998.
ENTER 'X' IN COLUMN 4 OF CALENDAR FOR EACH MONTH MARRIED OR LIVING WITH A MAN, AND ENTER 'O' FOR EACH MONTH NOT MARRIED/NOT LIVING WITH A MAN, SINCE JANUARY 1998.
FOR WOMEN WITH MORE THAN ONE UNION: PROBE FOR DATE WHEN CURRENT UNION STARTED AND, IF APPROPRIATE, FOR STARTING AND TERMINATION DATES OF ANY PREVIOUS UNIONS.
FOR WOMEN NOT CURRENTLY IN UNION: PROBE FOR DATE WHEN LAST UNION STARTED AND FOR TERMINATION DATE AND, IF APPROPRIATE, FOR THE STARTING AND TERMINATION DATES OF ANY PREVIOUS UNIONS.
513A. When you first got married or lived with a man, was it your choice or was it arranged by your family?
ARRANGED 2
513B. When you first got married or lived with a man, was the man younger, about the same age or older than you?
IF OLDER: Do you think he was less than 10 years older than you or 10 or more years older than you?
ABOUT THE SAME AGE 2
OLDER: LESS THAN 10 YEARS 3
OLDER: 10 YEARS OR MORE 4
OLDER: DON'T KNOW HOW MUCH 5
DOES NOT KNOW 8
514. Now I need to ask you some questions about sexual activity in order to gain a better understanding of some family life issues.
How old were you when you first had sexual intercourse (if ever)?
AGE IN YEARS ________
FIRST TIME WHEN STARTED LIVING WITH (FIRST) HUSBAND/PARTNER 95
25-49 YEARS OLD ___ (GO TO 515)
514B. The first time you had sexual intercourse, was a condom used?
NO 2
514C. The first time you had sex, was the man younger, about the same age or older than you?
IF OLDER: Do you think he was less than 10 years older than you or 10 or more years older than you?
ABOUT THE SAME AGE 2
OLDER: LESS THAN 10 YEARS 3
OLDER: 10 YEARS OR MORE 4
OLDER: DON'T KNOW HOW MUCH 5
DOES NOT KNOW 8
515. When was the last time you had sexual intercourse?
RECORD 'YEARS AGO' ONLY IF LAST INTERCOURSE WAS ONE OR MORE YEARS AGO. IF 12 MONTHS OR MORE, ANSWER MUST BE RECORDED IN YEARS.
WEEKS AGO 2 __
MONTHS AGO 3 __
YEARS AGO 4 __ (GO TO 525)
516. The last time you had sexual intercourse, was a condom used?
NO 2 (GO TO 517)
516A. What is the main reason you used a condom on that occasion?
RESPONDENT WANTED TO PREVENT PREGNANCY 2
RESPONDENT WANTED TO PREVENT BOTH STD/HIV AND PREGNANCY 3
DID NOT TRUST PARTNER/HE MAY HAVE OTHER PARTNERS 4
PARTNER INSISTED 5
OTHER (SPECIFY) ________ 6
517. What is your relationship to the man with whom you last had sex?
IF MAN IS 'BOYFRIEND' OR 'FIANCE', ASK:
Was your boyfriend/fiance living with you when you last had sex?
IF YES, RECORD '01'. IF NO, RECORD '02'.
MAN IS BOYFRIEND/FIANCE 02
OTHER FRIEND 03
CASUAL ACQUAINTANCE 04
RELATIVE 05
COMMERCIAL SEX WORKER 06
OTHER (SPECIFY) _____ 96
20-49 YEARS OLD __ (GO TO 518)
517B. Was this man younger, about the same age or older than you?
IF OLDER: Do you think he was less than 10 years older than you or 10 or more years older than you?
ABOUT THE SAME AGE 2
OLDER: LESS THAN 10 YEARS 3
OLDER: 10 YEARS OR MORE 4
OLDER: DON'T KNOW HOW MUCH 5
DOES NOT KNOW 8
518. For how long have you had a sexual relationship with this man?
WEEKS 2 __
MONTHS 3 __
YEARS 4 __
519. Have you had sex with any other man in the last 12 months?
NO 2 (GO TO 524)
520. The last time you had sexual intercourse with another man, was a condom used?
NO 2 (GO TO 521)
520A. What is the main reason you used a condom on that occasion?
RESPONDENT WANTED TO PREVENT PREGNANCY 2
RESPONDENT WANTED TO PREVENT BOTH STD/HIV AND PREGNANCY 3
DID NOT TRUST PARTNER/HE MAY HAVE OTHER PARTNERS 4
PARTNER INSISTED 5
OTHER (SPECIFY) _____ 6
521. What is your relationship to this other man?
IF MAN IS 'BOYFRIEND' OR 'FIANCE', ASK:
Was your boyfriend/fiance living with you when you last had sex?
IF YES, RECORD '01'. IF NO, RECORD '02'.
MAN IS BOYFRIEND/FIANCE 02
OTHER FRIEND 03
CASUAL ACQUAINTANCE 04
RELATIVE 05
COMMERCIAL SEX WORKER 06
OTHER (SPECIFY) ___ 96
20-49 YEARS OLD __ (GO TO 522)
521B. Was this man younger, about the same age or older than you?
IF OLDER: Do you think he was less than 10 years older than you or 10 or more years older than you?
ABOUT THE SAME AGE 2
OLDER: LESS THAN 10 YEARS 3
OLDER: 10 YEARS OR MORE 4
OLDER: DON'T KNOW HOW MUCH 5
DOES NOT KNOW 8
522. For how long have you had a sexual relationship with this man?
WEEKS 2 __
MONTHS 3 __
YEARS 4 __
522A. Other than these two men, have you had sexual intercourse with anyone else in the last 12 months?
NO 2 (GO TO 524)
522B. The last time you had sexual intercourse with this other man, was a condom used?
NO 2 (GO TO 522D)
522C. What is the main reason you used a condom on that occasion?
RESPONDENT WANTED TO PREVENT PREGNANCY 2
RESPONDENT WANTED TO PREVENT BOTH STD/HIV AND PREGNANCY 3
DID NOT TRUST PARTNER/HE MAY HAVE OTHER PARTNERS 4
PARTNER INSISTED 5
OTHER (SPECIFY) _______ 6
522D. What is your relationship to this other man?
IF MAN IS 'BOYFRIEND' OR 'FIANCE', ASK:
Was your boyfriend/fiance living with you when you last had sex?
IF YES, RECORD '01'.IF NO, RECORD '02'.
MAN IS BOYFRIEND/FIANCE 02
OTHER FRIEND 03
CASUAL ACQUAINTANCE 04
RELATIVE 05
COMMERCIAL SEX WORKER 06
OTHER (SPECIFY) _____ 96
20-49 YEARS OLD __ (GO TO 522E)
522D2. Was this man younger, about the same age or older than you?
IF OLDER: Do you think he was less than 10 years older than you or 10 or more years older than you?
ABOUT THE SAME AGE 2
OLDER: LESS THAN 10 YEARS 3
OLDER: 10 YEARS OR MORE 4
OLDER: DON'T KNOW HOW MUCH 5
DOES NOT KNOW 8
522E. For how long have you had a sexual relationship with this man?
WEEKS 2 __
MONTHS 3 __
YEARS 4 __
523. In total, how many different men have you had sex with in the last 12 months?
IF MORE THAN 95, WRITE '95'.
524. In the last 12 months, have you ever given or received money, gifts, or favours in return for sex?
NO 2
525. Do you know a place where one can get condoms?
NO 2 (GO TO 531)
526. Where is that? Any other place? CIRCLE ALL MENTIONED.
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE 'F'.
GOVERNMENT HEALTH CENTRE B
GOVERNMENT DISPENSARY C
OTHER PUBLIC (SPECIFY) ____ D
FPAK HEALTH CENTRE/CLINIC G
PRIVATE HOSPITAL OR CLINIC H
PHARMACY/CHEMIST I
NURSING/MATERNITY HOME K
OTHER PRIVATE MEDICAL (SPECIFY) _____ L
COMMUNITY-BASED DISTRIBUTOR N
SHOP/KIOSK O
FRIENDS/RELATIVES Q
OTHER (SPECIFY) _______ X
527. If you wanted to, could you yourself get a condom?
NO 2
DOES NOT KNOW/UNSURE 8
528. Do you know of a place where one can get female condoms?
NO 2 (GO TO 531)
529. Where is that? Any other place? CIRCLE ALL MENTIONED.
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE 'F'.
GOVERNMENT HEALTH CENTRE B
GOVERNMENT DISPENSARY C
OTHER PUBLIC (SPECIFY) ____ D
FPAK HEALTH CENTRE/CLINIC G
PRIVATE HOSPITAL OR CLINIC H
PHARMACY/CHEMIST I
NURSING/MATERNITY HOME K
OTHER PRIVATE MEDICAL (SPECIFY) _____ L
COMMUNITY-BASED DISTRIBUTOR N
SHOP/KIOSK O
FRIENDS/RELATIVES Q
OTHER (SPECIFY) _______ X
530. If you wanted to, could you yourself get a female condom?
NO 2
DON'T KNOW/UNSURE 8
531. In the last few months have you heard about condoms:
on the radio?
on the television?
in a newspapers?
NO 2
NO 2
NO 2
532. In your opinion, is it acceptable or unacceptable for condoms to be advertised:
on the radio?
on the TV?
in newspapers?
NOT ACCEPTABLE 2
DK/UNSURE 8
NOT ACCEPTABLE 2
DK/UNSURE 8
NOT ACCEPTABLE 2
DK/UNSURE 8
SECTION 6. FERTILITY PREFERENCES
HE OR SHE STERILISED __ (GO TO 614)
NOT PREGNANT OR UNSURE __
Now I have some questions about the future. Would you like to have (a/another) child, or would you prefer not to have any (more) children?
PREGNANT __
Now I have some questions about the future. After the child you are expecting now, would you like to have another child, or would you prefer not to have any more children?
NO MORE/NONE 2 (GO TO 604)
SAYS SHE CANNOT GET PREGNANT 3 (GO TO 614)
UNDECIDED/DON'T KNOW:
AND PREGNANT 4 (GO TO 610)
NOT PREGNANT OR UNSURE 5 (GO TO 608)
NOT PREGNANT OR UNSURE __
How long would you like to wait from now before the birth of (a/another) child?
PREGNANT __
After the birth of the child you are expecting now, how long would you like to wait before the birth of another child?
YEARS 2 ___
SOON/NOW 993 (GO TO 609)
SAYS SHE CANNOT GET PREGNANT 994 (GO TO 614)
AFTER MARRIAGE 995 (GO TO 609)
OTHER (SPECIFY) _____ 996 (GO TO 609)
DOES NOT KNOW 998 (GO TO 609)
PREGNANT __ (GO TO 610)
605. CHECK 310: USING A METHOD?
NOT CURRENTLY USING __ (GO TO 606)
CURRENTLY USING __ (GO TO 608)
24 OR MORE MONTHS OR 02 OR MORE YEARS __ (GO TO 607)
00-23 MONTHS OR 00-01 YEAR __ (GO TO 610)
WANTS A/ANOTHER CHILD __
You have said that you do not want (a/another) child soon, but you are not using any method to avoid pregnancy. Can you tell me why?
WANTS NO (MORE) CHILDREN __
You have said that you do not want any (more) children, but you are not using any method to avoid pregnancy. Can you tell me why?
RECORD ALL MENTIONED.
INFREQUENT SEX C
MENOPAUSAL/HYSTERECTOMY D
INFERTILE E
POSTPARTUM AMENORRHEIC F
BREASTFEEDING G
FATALISTIC H
HUSBAND/PARTNER OPPOSED J
OTHERS OPPOSED K
RELIGIOUS PROHIBITION L
KNOWS NO SOURCE N
FEAR OF SIDE EFFECTS P
LACK OF ACCESS/TOO FAR Q
COST TOO MUCH R
INCONVENIENT TO USE S
INTERFERES WITH BODY'S NORMAL PROCESSES T
DOES NOT KNOW Z
608. In the next few weeks, if you discovered that you were pregnant, would that be a big problem, a small problem, or no problem for you?
SMALL PROBLEM 2
NO PROBLEM 3
SAYS SHE CAN'T GET PREGNANT/NOT HAVING SEX 4
609. CHECK 310: USING A METHOD?
NOT CURRENTLY USING __ (GO TO 610)
CURRENTLY USING __ (GO TO 614)
610. Do you think you will use a method to delay or avoid pregnancy at any time in the future?
NO 2 (GO TO 612)
DOES NOT KNOW 8 (GO TO 612)
611. Which method would you prefer to use?
MALE STERILISATION 02 (GO TO 614)
PILL 03 (GO TO 614)
IUD 04 (GO TO 614)
INJECTIONS 05 (GO TO 614)
IMPLANTS 06 (GO TO 614)
CONDOM 07 (GO TO 614)
FEMALE CONDOM 08 (GO TO 614)
RHYTHM, PERIODIC ABSTINENCE 09 (GO TO 614)
WITHDRAWAL 10 (GO TO 614)
OTHER (SPECIFY) ______ 96 (GO TO 614)
UNSURE 98 (GO TO 614)
612. What is the main reason that you think you will not use a method at any time in the future?
MENOPAUSAL/HYSTERECTOMY 23
INFERTILE 24
WANTS AS MANY CHILDREN AS POSSIBLE 26
HUSBAND OPPOSED 32
OTHERS OPPOSED 33
RELIGIOUS PROHIBITION 34
KNOWS NO SOURCE 42
FEAR OF SIDE EFFECTS 52
LACK OF ACCESS/TOO FAR 53
COST TOO MUCH 54
INCONVENIENT TO USE 55
INTERFERES WITH BODY'S NORMAL PROCESSES 56
DOES NOT KNOW 98
HAS LIVING CHILDREN __
If you could go back to the time you did not have any children and could choose exactly the number of children to have in your whole life, how many would that be?
NO LIVING CHILDREN __
If you could choose exactly the number of children to have in your whole life, how many would that be?
PROBE FOR A NUMERIC RESPONSE.
NUMBER ____
OTHER (SPECIFY) ____ 96 (GO TO 616)
615. How many of these children would you like to be boys, how many would you like to be girls and for how many would the sex not matter?
NUMBER GIRLS ______
NUMBER EITHER ______
OTHER (SPECIFY) ______ 96
616. Would you say that you approve or disapprove of couples using a method to avoid getting pregnant?
DISAPPROVE 2
DOES NOT KNOW/UNSURE 8
YES, LIVING WITH A MAN __ (GO TO 622)
NO, NOT IN UNION __ (GO TO 628)
NO CODE CIRCLED __ (GO TO 624)
623. You have told me that you are currently using contraception. Would you say that using contraception is mainly your decision, mainly your husband's/partner's decision or did you both decide together?
MAINLY HUSBAND/PARTNER 2
JOINT DECISION 3
OTHER (SPECIFY) _______ 6
624. Now I want to ask you about your husband's/partner's views on family planning. Do you think that your husband/partner approves or disapproves of couples using a method to avoid pregnancy?
DISAPPROVES 2
DOES NOT KNOW 8
625. How often have you talked to your husband/partner about family planning in the past year?
ONCE OR TWICE 2
MORE OFTEN 3
HE OR SHE STERILISED __ (GO TO 628)
627. Do you think your husband/partner wants the same number of children that you want, or does he want more or fewer than you want?
MORE CHILDREN 2
FEWER CHILDREN 3
DON'T KNOW 8
628. Husbands and wives do not always agree on everything. Please tell me if you think a wife is justified in refusing to have sex with her husband when:
She knows her husband has a sexually transmitted disease?
She knows her husband has sex with other women?
She has recently given birth?
NO 2
DK 8
NO 2
DK 8
NO 2
DK 8
NO 2
DK 8
629. Do you think a wife is justified in asking that they use a condom when she knows her husband has a sexually transmitted disease?
NO 2
DOES NOT KNOW 8
SECTION 7. HUSBAND'S BACKGROUND AND WOMAN'S WORK
FORMERLY MARRIED/LIVED WITH A MAN __ (GO TO 703)
NEVER MARRIED AND NEVER LIVED WITH A MAN __ (GO TO 707)
702. How old was your husband/partner on his last birthday?
703. Did your (last) husband/partner ever attend school?
NO 2 (GO TO 706)
704. What was the highest level of school he attended:
primary, vocational, secondary, or higher?
PRIMARY 1
POST-PRIMARY/VOCATIONAL 2
SECONDARY/'A' LEVEL 3
COLLEGE (MIDDLE LEVEL) 4
UNIVERSITY 5
DOES NOT KNOW 8 (GO TO 706)
705. What was the highest (grade/form/year) he completed at that level?
DOES NOT KNOW 98
CURRENTLY MARRIED/LIVING WITH A MAN __
What is your husband's/partner's occupation?
What kind of work does he mainly do?
FORMERLY MARRIED/LIVED WITH A MAN __
What was your (last) husband's/ partner's occupation?
What kind of work did he mainly do?
______________
______________
707. Aside from your own housework, are you currently working?
NO 2
708. As you know, some women take up jobs for which they are paid in cash or kind. Others sell things, have a small business or work on the family farm or in the family business.
Are you currently doing any of these things or any other work?
NO 2
709. Have you done any work in the last 12 months?
NO 2 (GO TO 719)
710. What is your occupation, that is, what kind of work do you mainly do?
_____________
_____________
DOES NOT WORK IN AGRICULTURE __ (GO TO 713)
712. Do you work mainly on your own land or on family land, or do you work on land that you rent from someone else, or do you work on someone else's land?
FAMILY LAND 2
RENTED LAND 3
SOMEONE ELSE'S LAND 4
713. Do you do this work for a member of your family, for someone else, or are you self-employed?
FOR SOMEONE ELSE 2
SELF-EMPLOYED 3
714. Do you usually work at home or away from home?
AWAY 2
715. Do you usually work throughout the year, or do you work seasonally, or only once in a while?
SEASONALLY/PART OF THE YEAR 2
ONCE IN A WHILE 3
716. Are you paid or do you earn in cash or kind for this work or are you not paid at all?
CASH AND KIND 2
IN KIND ONLY 3 (GO TO 719)
NOT PAID 4 (GO TO 719)
717. Who mainly decides how the money you earn will be used?
HUSBAND/PARTNER 2
RESPONDENT AND HUSBAND/PARTNER JOINTLY 3
SOMEONE ELSE 4
RESPONDENT AND SOMEONE ELSE JOINTLY 5
718. On average, how much of your household's expenditures do your earnings pay for: almost none, less than half, about half, more than half, or all?
LESS THAN HALF 2
ABOUT HALF 3
MORE THAN HALF 4
ALL 5
NONE, HER INCOME IS ALL SAVED 6
719. Who in your family usually has the final say on the following decisions:
HUSBAND/PARTNER = 2
RESPONDENT AND HUSBAND/PARTNER JOINTLY = 3
SOMEONE ELSE = 4
RESPONDENT AND SOMEONE ELSE JOINTLY = 5
DECISION NOT MADE/NOT APPLICABLE = 6
HUSBAND/PARTNER = 2
RESPONDENT AND HUSBAND/PARTNER JOINTLY = 3
SOMEONE ELSE = 4
RESPONDENT AND SOMEONE ELSE JOINTLY = 5
DECISION NOT MADE/NOT APPLICABLE = 6
HUSBAND/PARTNER = 2
RESPONDENT AND HUSBAND/PARTNER JOINTLY = 3
SOMEONE ELSE = 4
RESPONDENT AND SOMEONE ELSE JOINTLY = 5
DECISION NOT MADE/NOT APPLICABLE = 6
HUSBAND/PARTNER = 2
RESPONDENT AND HUSBAND/PARTNER JOINTLY = 3
SOMEONE ELSE = 4
RESPONDENT AND SOMEONE ELSE JOINTLY = 5
DECISION NOT MADE/NOT APPLICABLE = 6
HUSBAND/PARTNER = 2
RESPONDENT AND HUSBAND/PARTNER JOINTLY = 3
SOMEONE ELSE = 4
RESPONDENT AND SOMEONE ELSE JOINTLY = 5
DECISION NOT MADE/NOT APPLICABLE = 6
720. PRESENCE OF OTHERS AT THIS POINT (PRESENT AND LISTENING, PRESENT BUT NOT LISTENING OR NOT PRESENT)
PRES/ NOT LISTEN. 2
NOT PRESENT 8
PRES/ NOT LISTEN. 2
NOT PRESENT 8
PRES/ NOT LISTEN. 2
NOT PRESENT 8
PRES/ NOT LISTEN. 2
NOT PRESENT 8
721. Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations:
If she goes out without telling him?
If she neglects the children?
If she argues with him?
If she refuses to have sex with him?
If she burns the food?
NO 2
DK 8
NO 2
DK 8
NO 2
DK 8
NO 2
DK 8
NO 2
DK 8
SECTION 8. AIDS AND OTHER SEXUALLY TRANSMITTED DISEASES
801. Now I would like to talk about something else. Have you ever heard of an illness called AIDS?
NO 2 (GO TO 817)
802. Is there anything a person can do to avoid getting AIDS or the virus that causes AIDS?
NO 2 (GO TO 809)
DOES NOT KNOW 8 (GO TO 809)
803. What can a person do?
Anything else?
CIRCLE ALL MENTIONED.
USE CONDOMS B
LIMIT SEX TO ONE PARTNER/STAY FAITHFUL TO ONE PARTNER C
LIMIT NUMBER OF SEX PARTNERS D
AVOID SEX WITH PROSTITUTES E
AVOID SEX WITH PERSONS WHO HAVE MANY PARTNERS F
AVOID SEX WITH HOMOSEXUALS G
AVOID SEX WITH DRUG USERS H
AVOID BLOOD TRANSFUSIONS I
AVOID INJECTIONS J
AVOID SHARING RAZORS/BLADES K
AVOID KISSING L
AVOID MOSQUITO BITES M
SEEK PROTECTION FROM TRADITIONAL HEALER N
OTHER (SPECIFY) _______ W
OTHER (SPECIFY) _______ X
DOES NOT KNOW Z
804. Can people reduce their chances of getting the AIDS virus by having just one sex partner who has no other partners?
NO 2
DOES NOT KNOW 8
805. Can people get the AIDS virus from mosquito or other insect bites?
NO 2
DOES NOT KNOW 8
806. Can people reduce their chances of getting the AIDS virus by using a condom every time they have sex?
NO 2
DOES NOT KNOW 8
807. Can people get the AIDS virus by sharing utensils with a person who has AIDS?
NO 2
DOES NOT KNOW 8
808. Can people reduce their chances of getting the AIDS virus by not having sex at all?
NO 2
DOES NOT KNOW 8
809. Is it possible for a healthy-looking person to have the AIDS virus?
NO, NOT POSSIBLE 2
DOES NOT KNOW 8
810. Do you know someone personally who has the virus that causes AIDS or someone who died of AIDS?
NO 2
811. Can the virus that causes AIDS be transmitted from a mother to a child?
NO 2 (GO TO 813)
DOES NOT KNOW 8 (GO TO 813)
812. When can the virus that causes AIDS be transmitted from a mother to a child?
Can it be transmitted...
During pregnancy?
During delivery?
During breastfeeding?
NO 2
DK 8
NO 2
DK 8
NO 2
DK 8
812A. Can a mother who is infected with the AIDS virus reduce the risk of giving the virus to the baby by taking certain drugs during pregnancy?
NO 2
DOES NOT KNOW 8
NOT CURRENTLY MARRIED/NOT LIVING WITH A MAN __ (GO TO 814A)
814. Have you ever talked with (your husband/the man you are living with) about ways to prevent getting the virus that causes AIDS?
NO 2
814A. Would you buy fresh vegetables from a vendor who has the AIDS virus?
NO 2
DOES NOT KNOW 8
815. If a member of your family got infected with the virus that causes AIDS, would you want it to remain a secret or not?
NO 2
DOES NOT KNOW/NOT SURE 8
816. If a relative of yours became sick with the virus that causes AIDS, would you be willing to care for her or him in your own household?
NO 2
DK/NOT SURE/DEPENDS 8
816A. If a female teacher has the AIDS virus, should she be allowed to continue teaching in school?
NO, SHOULD NOT CONTINUE 2
DOES NOT KNOW 8
816B. Should children aged 12-14 be taught about using a condom to avoid AIDS?
NO 2
DK/NOT SURE/DEPENDS 8
816B1. Do you think your chances of getting AIDS are small, moderate, great, or no risk at all?
MODERATE 2 (GO TO 816B3)
GREAT 3 (GO TO 816B3)
NO RISK AT ALL 4
HAS AIDS 5 (GO TO 816B4)
816B2. Why do you think that you have (no risk/a small chance) of getting AIDS?
Any other reasons?
CIRCLE ALL MENTIONED.
USES CONDOMS B (GO TO 816B4)
HAS ONLY ONE PARTNER C (GO TO 816B4)
LIMITS THE NUMBER OF PARTNERS D (GO TO 816B4)
PARTNER HAS NO OTHER PARTNERS E (GO TO 816B4)
OTHER (SPECIFY) _____ X (GO TO 816B4)
816B3. Why do you think that you have a (moderate, great) chance of getting AIDS?
Any other reasons?
CIRCLE ALL MENTIONED.
HAS MORE THAN 1 SEX PARTNER B
PARTNER HAS OTHER PARTNERS C
HOMOSEXUAL CONTACTS D
HAD BLOOD TRANSFUSION/INJECTION E
OTHER (SPECIFY) ______ X
816B4. Have you ever heard of VCT?
NO 2
816C. I do not want to know the results, but have you ever been tested to see if you have the AIDS virus?
NO 2 (GO TO 816D)
816C1. When was the last time you were tested?
12-23 MONTHS AGO 2
2 YEARS OR MORE AGO 3
816C2. The last time you were tested, did you ask for the test, was it offered to you and you accepted, or was it required?
OFFERED AND ACCEPTED 2
REQUIRED 3
816C3. I do not want to know the results, but did you get the results of the test?
NO 2 (GO TO 816FX)
816D. Would you want to be tested for the AIDS virus?
NO 2
DO NOT KNOW/UNSURE 8
816E. Do you know a place where you could go to get an AIDS test?
NO 2 (GO TO 817)
816F. Where can you go for the test?
GOVT. HEALTH CENTRE/CLINIC 12
GOVERNMENT DISPENSARY 13
OTHER PUBLIC (SPECIFY) ______ 16
FPAK HEALTH CENTRE/CLINIC 22
PRIVATE HOSPITAL/CLINIC 23
VCT CENTRE 24
NURSING/MATERNITY HOME 26
OTHER (SPECIFY) ______ 96
816FX. Where did you go for the test?
IF SOURCE IS HOSPITAL, HEALTH CENTRE, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE '21'.
GOVT. HEALTH CENTRE/CLINIC 12
GOVERNMENT DISPENSARY 13
OTHER PUBLIC (SPECIFY) ______ 16
FPAK HEALTH CENTRE/CLINIC 22
PRIVATE HOSPITAL/CLINIC 23
VCT CENTRE 24
NURSING/MATERNITY HOME 26
OTHER (SPECIFY) ______ 96
817. Apart from AIDS, have you heard about other infections that can be transmitted through sexual contact?
NO 2 (GO TO 819A)
818. If a man has a sexually transmitted disease, what symptoms might he have?
Any others?
RECORD ALL MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE/NO ERECTION L
OTHER (SPECIFY) ________ W
OTHER (SPECIFY) ________ X
NO SYMPTOMS Y
DOES NOT KNOW Z
819. If a woman has a sexually transmitted disease, what symptoms might she have?
Any others?
RECORD ALL MENTIONED.
GENITAL DISCHARGE B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
HARD TO GET PREGNANT L
OTHER (SPECIFY) ________ W
OTHER (SPECIFY) ________ X
NO SYMPTOMS Y
DOES NOT KNOW Z
HAS NOT HAD SEXUAL INTERCOURSE __ (GO TO 820)
819B. Now I would like to ask you some questions about your health in the last 12 months. During the last 12 months, have you had a sexually transmitted disease?
NO 2
DON'T KNOW 8
819C. Sometimes, women experience an abnormal vaginal discharge. During the last 12 months, have you had a bad-smelling unusual discharge from your vagina?
NO 2
DON'T KNOW 8
819D. Sometimes women have a genital sore or ulcer. During the last 12 months, have you had a genital sore or ulcer?
NO 2
DON'T KNOW 8
819E. CHECK 819B, 819C, AND 819D:
HAS NOT HAD AN INFECTION OR DOES NOT KNOW __ (GO TO 820)
819F. The last time you had (PROBLEM(S) FROM 819B/819C/819D), did you seek any kind of advice or treatment?
NO 2 (GO TO 819H)
819G. The last time you had (PROBLEM(S) FROM 819B/819C/819D), did you do any of the following? Did you...
Go to a clinic, hospital or private doctor?
Consult a traditional healer?
Seek advice or buy medicines in a shop or pharmacy?
Ask for advice from friends or relatives?
NO 2
NO 2
NO 2
NO 2
819H. When you had (PROBLEM(S) FROM 819B/819C/819D), did you tell the person with whom you were having sex?
NO 2
SOME/NOT AT ALL 3
DID NOT HAVE A PARTNER 4 (GO TO 820)
819I. When you had (PROBLEM(S) FROM 819B/819C/819D), did you do anything to avoid infecting your sexual partner(s)?
NO 2 (GO TO 820)
PARTNER(S) ALREADY INFECTED 3 (GO TO 820)
819J. What did you do to avoid infecting your partner(s)? Did you...
Use medicine?
Stop having sex?
Use a condom when having sex?
NO 2
NO 2
NO 2
820. In many communities, girls are introduced to womanhood by participating in some ceremonies and undergoing specific procedures. I want to discuss with you the circumcision of girls. In this community, is female circumcision practiced?
NO 2
NO 2
HAS NO LIVING DAUGHTER __ (GO TO 901)
823. Has your eldest daughter been circumcised?
NO 2
NOT SURE 8
824. Do you plan to have your eldest daughter circumcised?
NO 2
NOT SURE 8
901. Now I would like to ask you about your brothers and sisters, that is, all of the children born to your natural mother, including those who are living with you, those living elsewhere and those who have died.
How many children did your mother give birth to, including you?
ONLY ONE BIRTH (RESPONDENT ONLY) __ (GO TO 1000)
903. How many of these births did your mother have before you were born?
904. What was the name given to your oldest (next oldest) brother or sister?
905. Is (NAME) male or female?
FEMALE 2
NO 2 (GO TO 908)
DK 8 (GO TO NEXT BROTHER OR SISTER)
908. How many years ago did (NAME) die?
909. How old was (NAME) when he/she died?
IF MALE OR DIED BEFORE AGE 12 YEARS GO TO NEXT BROTHER OR SISTER
910. Was (NAME) pregnant when she died?
NO 2
911. Did (NAME) die during childbirth?
NO 2
912. Did (NAME) die within two months after the end of a pregnancy or childbirth?
NO 2
913. How many live born children did (NAME) give birth to during her lifetime (before this pregnancy)?
IF NO MORE BROTHERS OR SISTERS, GO TO 1000
1000. CHECK HOUSEHOLD QUESTIONNAIRE, COLUMN (8):
WOMAN NOT SELECTED __ (GO TO 1019)
OTHERS PRESENT OR LISTENING __ (GO TO 1018)
Now I would like to ask you questions about some other important aspects of a woman's life. I know that some of these questions are very personal. However, your answers are crucial for helping to understand the condition of women in Kenya. Let me assure you that your answers are completely confidential and will not be told to anyone.
1002. CHECK 501, 502, AND 504:
SEPARATED/DIVORCED __ (GO TO 1005, READ IN PAST TENSE)
WIDOWED/NEVER MARRIED/NEVER LIVED WITH A MAN __ (GO TO 1014)
1005. Now I need to ask some more questions about your relationship with your (last) husband/partner.
5A (Does/did) your (last) husband/partner ever:
NO 2
NO 2
5B. How many times did this happen during the last 12 months?
1006. 6A. (Does/did) your (last) husband/partner ever:
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
NO 2
6B. How many times did this happen during the past 12 months?
NOT A SINGLE 'YES' __ (GO TO 1009)
1008. How long after you first got married to/started living with your (last) husband/partner did (this/any of these things) first happen?
IF LESS THAN ONE YEAR, RECORD '00'
BEFORE MARRIAGE/BEFORE LIVING TOGETHER 95
AFTER SEPARATION/DIVORCE 96
1009. Did the following ever happen because of something your (last) husband/partner did to you:
NO 2
NO 2
NO 2
9B How many times did this happen during the last 12 months?
1010. Have you ever hit, slapped, kicked or done anything else to physically hurt your (last) husband/partner at times when he was not already beating or physically hurting you?
NO 2 (GO TO 1012)
1011. In the last 12 months, how many times have you hit, slapped, kicked or done something to physically hurt your (last) husband/partner at a time when he was not already beating or physically hurting you?
1012. Does (did) your husband/partner drink alcohol or take illegal drugs?
NO 2 (GO TO 1014)
1013. How often does (did) he get drunk or take drugs: very often, only sometimes, or never?
SOMETIMES 2
NEVER 3
MARRIED/LIVING WITH A MAN/SEPARATED/DIVORCED __
From the time you were 15 years old has anyone other than your (current/last) husband/partner hit, slapped, kicked, or done anything else to hurt you physically?
WIDOWED/NEVER MARRIED/NEVER LIVED WITH A MAN __
From the time you were 15 years old has anyone ever hit, slapped, kicked, or done anything else to hurt you physically?
NO 2 (GO TO 1017)
NO ANSWER 6 (GO TO 1017)
1015. Who has physically hurt you in this way?
Anyone else?
CIRCLE ALL MENTIONED.
FATHER B
STEP-MOTHER C
STEP-FATHER D
SISTER E
BROTHER F
DAUGHTER G
SON H
LATE/EX-HUSBAND/EX-PARTNER I
CURRENT BOYFRIEND J
FORMER BOYFRIEND K
MOTHER-IN-LAW L
FATHER-IN-LAW M
OTHER FEMALE RELATIVE/IN-LAW N
OTHER MALE RELATIVE/ IN-LAW O
FEMALE FRIEND/ACQUAINTANCE P
MALE FRIEND/ACQUAINTANCE Q
TEACHER R
EMPLOYER S
STRANGER T
OTHER (SPECIFY) ________ X
1016. In the last 12 months, how many times has this person (these people) hit, slapped, kicked, or done anything else to physically hurt you?
THANK THE RESPONDENT FOR HER COOPERATION AND REASSURE HER ABOUT THE CONFIDENTIALITY OF HER ANSWERS. FILL OUT THE QUESTIONS BELOW WITH REFERENCE TO THE DOMESTIC VIOLENCE SECTION ONLY.
1017. DID YOU HAVE TO INTERRUPT THE INTERVIEW BECAUSE SOME ADULT WAS TRYING TO LISTEN, OR CAME INTO THE ROOM, OR INTERFERED IN ANY OTHER WAY?
YES, MORE THAN ONCE 2
NO 3
YES, MORE THAN ONCE 2
NO 3
YES, MORE THAN ONCE 2
NO 3
1018. INTERVIEWER'S COMMENTS/EXPLANATION FOR NOT COMPLETING THE DOMESTIC VIOLENCE SECTION
____________________________
____________________________
____________________________
MINUTES _______
TO BE FILLED IN AFTER COMPLETING INTERVIEW
COMMENTS ABOUT RESPONDENT:
_____________________________
COMMENTS ON SPECIFIC QUESTIONS:
_____________________________
ANY OTHER COMMENTS:
_____________________________
SUPERVISOR'S OBSERVATIONS
_____________________________
NAME OF THE SUPERVISOR:_________________ DATE: _________
EDITOR'S OBSERVATIONS
_____________________________
NAME OF EDITOR:________________ DATE: _________
INSTRUCTIONS:
ONLY ONE CODE SHOULD APPEAR IN ANY BOX.
FOR COLUMNS 1 AND 4, ALL MONTHS SHOULD BE FILLED IN.
INFORMATION TO BE CODED FOR EACH COLUMN
P PREGNANCIES
T TERMINATIONS
0 NO METHOD
1 FEMALE STERILISATION
2 MALE STERILISATION
3 PILL
4 IUD
5 INJECTABLES
6 IMPLANTS, NORPLANT
7 CONDOM
8 FEMALE CONDOM
L RHYTHM OR NATURAL METHODS
M WITHDRAWAL
X OTHER (SPECIFY) _______
2 GOVT. HEALTH CENTRE
3 GOVT. DISPENSARY
4 OTHER PUBLIC (GOVT.)
5 MISSION, CHURCH HOSPITAL, CLINIC
6 FPAK HEALTH CENTRE, CLINIC
7 PVT. HOSPITAL/CLINIC
8 PHARMACY, CHEMIST
A NURSING/MATERNITY HOME
B MOBILE CLINIC
C COMMUNITY-BASED DISTRIBUTOR
D SHOP
E FRIENDS/RELATIVES
X OTHER (SPECIFY) _______
1 BECAME PREGNANT WHILE USING
2 WANTED TO BECOME PREGNANT
3 HUSBAND/PARTNER DISAPPROVED
4 WANTED MORE EFFECTIVE METHOD
5 HEALTH CONCERNS
6 SIDE EFFECTS
7 LACK OF ACCESS/TOO FAR
8 COSTS TOO MUCH
9 INCONVENIENT TO USE
F FATALISTIC
A DIFFICULT TO GET PREGNANT/MENOPAUSAL
D MARITAL DISSOLUTION/SEPARATION
X OTHER (SPECIFY) _______
Z DON'T KNOW
0 NOT IN UNION
2003 1 2 3 4
12 DEC 01 _____ _____ _____ ______ 01 DEC
11 NOV 02 _____ _____ _____ ______ 02 NOV
10 OCT 03 _____ _____ _____ ______ 03 OCT
09 SEP 04 _____ _____ _____ ______ 04 SEP
08 AUG 05 _____ _____ _____ ______ 05 AUG
07 JUL 06 _____ _____ _____ ______ 06 JUL
06 JUN 07 _____ _____ _____ ______ 07 JUN
05 MAY 08 _____ _____ _____ ______ 08 MAY
04 APR 09 _____ _____ _____ ______ 09 APR
03 MAR 10 _____ _____ _____ ______ 10 MAR
02 FEB 11 _____ _____ _____ ______ 11 FEB
01 JAN 12 _____ _____ _____ ______ 12 JAN
2002 1 2 3 4
12 DEC 13 _____ _____ _____ ______ 13 DEC
11 NOV 14 _____ _____ _____ ______ 14 NOV
10 OCT 15 _____ _____ _____ ______ 15 OCT
09 SEP 16 _____ _____ _____ ______ 16 SEP
08 AUG 17 _____ _____ _____ ______ 17 AUG
07 JUL 18 _____ _____ _____ ______ 18 JUL
06 JUN 19 _____ _____ _____ ______ 19 JUN
05 MAY 20 _____ _____ _____ ______ 20 MAY
04 APR 21 _____ _____ _____ ______ 21 APR
03 MAR 22 _____ _____ _____ ______ 22 MAR
02 FEB 23 _____ _____ _____ ______ 23 FEB
01 JAN 24 _____ _____ _____ ______ 24 JAN
2001 1 2 3 4
12 DEC 25 _____ _____ _____ ______ 25 DEC
11 NOV 26 _____ _____ _____ ______ 26 NOV
10 OCT 27 _____ _____ _____ ______ 27 OCT
09 SEP 28 _____ _____ _____ ______ 28 SEP
08 AUG 29 _____ _____ _____ ______ 29 AUG
07 JUL 30 _____ _____ _____ ______ 30 JUL
06 JUN 31 _____ _____ _____ ______ 31 JUN
05 MAY 32 _____ _____ _____ ______ 32 MAY
04 APR 33 _____ _____ _____ ______ 33 APR
03 MAR 34 _____ _____ _____ ______ 34 MAR
02 FEB 35 _____ _____ _____ ______ 35 FEB
01 JAN 36 _____ _____ _____ ______ 36 JAN
2000 1 2 3 4
12 DEC 37 _____ _____ _____ ______ 37 DEC
11 NOV 38 _____ _____ _____ ______ 38 NOV
10 OCT 39 _____ _____ _____ ______ 39 OCT
09 SEP 40 _____ _____ _____ ______ 40 SEP
08 AUG 41 _____ _____ _____ ______ 41 AUG
07 JUL 42 _____ _____ _____ ______ 42 JUL
06 JUN 43 _____ _____ _____ ______ 43 JUN
05 MAY 44 _____ _____ _____ ______ 44 MAY
04 APR 45 _____ _____ _____ ______ 45 APR
03 MAR 46 _____ _____ _____ ______ 46 MAR
02 FEB 47 _____ _____ _____ ______ 47 FEB
01 JAN 48 _____ _____ _____ ______ 48 JAN
1999 1 2 3 4
12 DEC 49 _____ _____ _____ ______ 48 DEC
11 NOV 50 _____ _____ _____ ______ 50 NOV
10 OCT 51 _____ _____ _____ ______ 51 OCT
09 SEP 52 _____ _____ _____ ______ 52 SEP
08 AUG 53 _____ _____ _____ ______ 53 AUG
07 JUL 54 _____ _____ _____ ______ 54 JUL
06 JUN 55 _____ _____ _____ ______ 55 JUN
05 MAY 56 _____ _____ _____ ______ 56 MAY
04 APR 57 _____ _____ _____ ______ 57 APR
03 MAR 58 _____ _____ _____ ______ 58 MAR
02 FEB 59 _____ _____ _____ ______ 59 FEB
01 JAN 60 _____ _____ _____ ______ 60 JAN
1998 1 2 3 4
12 DEC 61 _____ _____ _____ ______ 61 DEC
11 NOV 62 _____ _____ _____ ______ 62 NOV
10 OCT 63 _____ _____ _____ ______ 63 OCT
09 SEP 64 _____ _____ _____ ______ 64 SEP
08 AUG 65 _____ _____ _____ ______ 65 AUG
07 JUL 66 _____ _____ _____ ______ 66 JUL
06 JUN 67 _____ _____ _____ ______ 67 JUN
05 MAY 68 _____ _____ _____ ______ 68 MAY
04 APR 69 _____ _____ _____ ______ 69 APR
03 MAR 70 _____ _____ _____ ______ 70 MAR
02 FEB 71 _____ _____ _____ ______ 71 FEB
01 JAN 72 _____ _____ _____ ______ 72 JAN